cystic dilatation of choledoque. A case report

ABSTRACT

The cystic dilation of choledoque is a rare congenital affection. It represents the first cause of extra hepatic cholestase in child. The discovery is generally made in childhood. The diagnosis rests primarily on echography. Because of the secondary risk of degeneration of the cyst and its complications, the complete surgical resection is essential. We report the case of an infant of female sex admitted in our service at the age of 11 months for abdominal distension, fever, icter and melena. The clinical examination found an supra-umbilical mass. Radiological explorations [echography, scanner and IRM] were in favour of a pseudo cyst of the choledoque. The treatement consisted on an exeresis of the cyst followed with bilio-digestive and ilio-jejunal anastomosis. The post-operative evolution was simple. At the occasion of this observation, the authors make a review of literature